Life Quest Family Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE QUEST FAMILY SOLUTIONS

Practice address

586 1St St
Idaho Falls, ID 83401-3963

Phone

(208) 529-2920

NPI assigned

Jan 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Crain Merlin Nielson

Title

President

Phone

(208) 861-1223

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Charles Homer, LCSW

  • Clinical Social Worker
  • Ammon, ID
  • NPI 1649336488
  NPD (past)
• Laura Parks, LSW

  • Social Worker
  • Idaho Falls, ID
  • NPI 1871642728
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013062553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013963",
            "telephone_number": "208-529-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013963",
            "telephone_number": "208-529-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUEST FAMILY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "CRAIN",
        "authorized_official_middle_name": "MERLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-861-1223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "V38051FN",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKylie Raellen Lewis, MS, RDN, LD
• Robert Taylor Lewis, CRNA
• Liberty Dialysis - Idaho Falls LLC
• Stephanie Liddle, PT
• Life Improvement Center, LLC
• Life Spring Women'S Clinic, P.a.
• Life Spring Womens Clinic, P.a.
• Lighthouse Counseling, LLC
• Mariah Darlene Lignell
• Cody Likes

• Community/Behavioral Health Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.